TRAUMATIC BRAIN INJURY CASE SCENARIOQUESTIONS.1. On the given case scenario, present the relevance of each diagnostic and laboratory tests to the patient. (see photo attached)2. In relation to the patient’s case, trace the pathophysiology of the disease. (see photo attached) A 65-year-old male was brought by the rescue squad to the emergency room after being found comatose on the floor of his garage at thebottom of a 15-ft ladder. He was intubated at the scene for airway protection and remains unresponsive. Past medical history is unknown as aneighbor found the patient; however, the neighbor notes alcohol intake of unknown frequency or quantity. Computed tomography scan (CTscan) imaging of his cervical spine was negative but brain imaging showed diffuse, traumatic subarachnoid hemorrhage; small right-sidedepidural hematoma (EDH); and large left subdural hematoma (SDH) with subsequent tentorial herniation. The left-sided SDH was evacuated anda hemicraniectomy was performed to minimize the mass effect of the cerebral edema. The patient was admitted to the neurocritical care unit(NCCU) for proper management and treatment. Foley catheter in place with clear yellow urine. Urinary output is within normal range. Thepatient initially regained some movement in the left upper and the left lower extremities postoperatively. But noticed of an acute loss of his left-sided motor function, right eye deviation, and in coma. Subjective Data: Unable to obtain due to comaObjective Data:• Vital signs: Temperature - 97.6°F, heart rate 105 beats per minute; systolic blood pressure 148 mm Hg; mean arterial pressure 80 mm Hg;oxygen saturation 98% on 40% oxygen; respiratory rate is 18 breaths per minute with a set ventilator rate of 12 breaths/minute.• Intracranial pressure is 18 mm Hg with a cerebral perfusion pressure of 70 mm Hg.• The intraventricular catheter is leveled at 10 mm Hg and is actively draining clear cerebral spinal fluid. A normal intracranial pressurewaveform is noted.• Medications: Normal Saline Solution at 75 mL/hour. Nicardipine IV infusion 5mg/hr. Propofol infusion has been off, and Fentanyl was given6hrs ago.• Laboratory findings: sodium 142 mEq/L, blood urea nitrogen 8 mg/dL, creatinine 0.7 mg/dL, glucose 105 mmol/L, white blood cell count11,000 cells/mL, hemoglobin 11 g/dL, platelets 205,000/µL, urinalysis and toxicology screen are both negative.Diagnostic Findings:• Immediate radiographic, diagnostic testing with a non-contrast CT scan of head.• MRI – few days after - showed severe diffuse axonal injury (DAI)

Traumatic brain injury is a sudden injury of the brain causing brain damage. It occurs when there is…

TRAUMATIC BRAIN INJURY CASE SCENARIO QUESTIONS. 1. On the given case scenario, present the relevance of each diagnostic and laboratory tests to the patient. (see photo attached) 2. In relation to the patient’s case, trace the pathophysiology of the disease. (see photo attached)

TRAUMATIC BRAIN INJURY CASE SCENARIO QUESTIONS. 1. On the given case scenario, present the relevance of each diagnostic and laboratory tests to the patient. (see photo attached) 2. In relation to the patient’s case, trace the pathophysiology of the disease. (see photo attached)

Comprehensive Medical Terminology

4th Edition

ISBN:9781133478850

Author:Jones

Publisher:Jones

Chapter11: The Respiratory System

Section: Chapter Questions

Problem K2CRE

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